| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $7,762.47 | $9,772.37 | |
Cigna
| Facility | $9,772.37 | $9,772.37 | $9,772.37 | |
Regence BlueShield
| Facility | $4,677.35 | $5,495.41 | $12,589.25 | |
U of Utah Health Plan
| Professional | $645.65 | $912.01 | $1,318.26 | |
United
| Facility | $4,466.84 | $9,772.37 | $15,135.61 |